| Evening Star Holistic & Behavioral Services Llc | |
|
2405 Essington Rd Ste B539 Joliet IL 60435-1200 | |
| (708) 691-6249 | |
| Not Available |
| Full Name | Evening Star Holistic & Behavioral Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2405 Essington Rd Ste B539, Joliet, Illinois |
| Authorized Official Name and Position | Brian Gall (REGISTERED AGENT) |
| Authorized Official Contact | 7086916249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evening Star Holistic & Behavioral Services Llc 2405 Essington Rd Ste B539 Joliet IL 60435-1200 Ph: () - | Evening Star Holistic & Behavioral Services Llc 2405 Essington Rd Ste B539 Joliet IL 60435-1200 Ph: (708) 691-6249 |
| NPI Number | 1891563771 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 12/29/2023 |
| Certification Date | 12/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891563771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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